The child broke his tooth "face to the ground", the mother rushed to the emergency room with milk, and the doctor angrily praised him for doing the right thing

Tide News

2024-05-14 17:11Posted on the official account of Zhejiang Chao News

Chao News client reporter Yang Qian correspondent Xu Youjia

"Doctor, my son fell at the school gate half an hour ago and knocked out his entire tooth, what should I do?" In the evening, my mother hurriedly ran into the stomatology clinic of Hangzhou Hospital of Traditional Chinese Medicine with Doudou, holding a milk bottle tightly in her hand, "I saw that Koppon said that you can soak the broken tooth in milk, so that you can take it back." ”

The dentist carefully removed the broken tooth from the milk, and after performing an oral examination for Doudou, he turned his head and said, "You did a very good job!" The treatment is very timely, and there is a good chance that the tooth will survive when it is re-fixed. Hearing this, the expression on my mother's face finally relaxed a lot.

Recently, a primary school student in Hangzhou knocked out 5 permanent teeth after falling during recess, and the teacher found the student's lost teeth, put all the broken teeth into fresh milk for preservation as soon as possible, and successfully saved the child's permanent teeth after seeking medical treatment. After this incident appeared on the hot search list on Weibo, it quickly triggered a discussion boom of "how to deal with children's dental trauma".

Image courtesy of Visual China

Summer is approaching, children's outdoor activity time is increasing, running and jumping will inevitably stumble and fall, parents must collect the "dental trauma emergency treatment cheats" to protect the baby's dental safety:

Danger is everywhere, and dental trauma in children should not be underestimated

Children's dental trauma refers to the situation that the teeth are injured by emergency trauma, especially the damage caused by blow or impact, the children's sense of danger is weak, the coordination ability is insufficient, but they are lively and active, and they are prone to collision and fall during sports or play, resulting in dental trauma, among which the trauma of deciduous teeth is mostly manifested as the change of tooth position, and the trauma of permanent teeth is mostly manifested as tooth breakage. According to the 2020 clinical guidelines of the International Society of Dental Trauma, 25% of school-age children have a history of dental trauma, and dental trauma has become the second leading oral disease causing tooth loss or absence in children, after dental caries.

Trauma to children's teeth is more common in school-age children, if it is a baby tooth, trauma may directly damage the underlying permanent tooth germ, affect the development and normal eruption of inherited permanent teeth, and cause permanent tooth development deformity, eruption direction change, etc.; If trauma occurs to permanent teeth, it will have adverse effects on children's chewing function, occlusal relationship, aesthetics, growth and development, so parents should help children avoid dental trauma as much as possible in their daily life.

Race against time to "save" the injured tooth

What should I do if my tooth is completely knocked out?

Let's start with the most serious cases, which need to be treated according to the type of tooth, and the principle of treatment of baby teeth and permanent teeth is different. If the dislocated primary tooth is a deciduous tooth, reduction is generally not considered in order to avoid affecting the permanent tooth germ; The permanent teeth accompany the child for a lifetime, and the protruding permanent teeth should be rescued as soon as possible. The better the emergency treatment, the better the teeth will heal and the better they will be able to maintain their function.

First of all, we should avoid touching the root of the lost tooth, rinse the lost tooth with clean water or normal saline, and then put it in purified water, normal saline or fresh milk for preservation.

Be careful not to wrap the lost tooth with a tissue or gauze, as the success rate of a dry and preserved tooth replantation will be greatly reduced. At the same time, it is necessary to protect the "fleshy" tissue ("periodontal ligament") on the teeth, and never tear off the "fleshy" tissue due to the adhesion of contaminants! The amount of periodontal ligament is of great significance to the success rate of reimplantation.

The core of tooth loss rescue is "proper preservation and quick medical treatment", the shorter the tooth out of the body, the higher the success rate of reimplantation. Generally, if the effect is better within half an hour from tooth loss to medical treatment, try not to exceed 2 hours. If you do not see a doctor for more than 24 hours, the success rate of saving the lost tooth will be greatly reduced. The lost tooth should be ligated and rechecked regularly after reduction, and root canal treatment should be done in time if there are symptoms of pulp necrosis.

What to do if a tooth is partially broken?

Clinically, there will be different treatment options depending on the location of the tooth fracture. First of all, as long as the broken part of the tooth is intact, the broken part should be stored in the liquid as much as possible, and the liquid can be saved with normal saline, fresh milk, and purified water, and the child and the broken tooth should be sent to the hospital in time, and the doctor can repair the bond according to the situation.

What should I do if I have a crooked tooth?

If there is a change in the position of a tooth after being impacted by an external force, this phenomenon is called tooth displacement. If the tooth moves downward, the overall appearance becomes longer, which is called "subluxation"; If you move upwards and look shorter, it's called "tooth indentation".

In the event of any of the above, it is important to seek medical attention, and the doctor will reset the displaced tooth to its original position before fixing it. It should be noted that if a young permanent tooth is involuted, it is generally necessary to observe for a period of time, because it may erupt spontaneously, and it should not be forcibly pulled out and reduced rashly, which will affect the resorption function of the tooth root and surrounding alveolar bone.

Does it matter if the teeth are a little loose after a collision?

After a fall or a hard object, there is no problem or only a slight loosening of the tooth surface, a condition known as "tooth concussion". Mild shocks can usually be recovered by resting for two weeks and avoiding biting hard objects with your teeth. In addition, regular observation is also required, but if there is subsequent tooth discoloration or tooth swelling and pain, it is important to seek medical attention in time.

Prevent problems before they happen and protect the safety of your baby's teeth

Parents should warn their children not to chase and fight in their daily lives, especially in dangerous and narrow places such as stairs and corridors, and not to throw sharp and dangerous objects such as stones at each other when playing. Seat belts should be fastened when riding on transportation. Helmets should be worn when riding bicycles.

When participating in sports activities and games, it is best to wear sportswear and rubber non-slip sneakers to prevent falls and falls. Wear helmets, protective equipment such as dental trays when performing high-speed and high-risk sports such as skateboarding, roller skating, and ice skating, or strong confrontation sports such as basketball, to reduce the risk of dental injury.

When watching basketball, football, etc., keep a safe distance from the court to avoid being injured by the ball. If you can't dodge an emergency, you should hold your head with both arms to avoid being hit directly in the face by the ball.

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